Women's health

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Covered preventive services for women

(Including pregnant women)

For individual plans — plan year 2020

These preventive services may be covered at no cost to you when they are delivered by a network provider. Preventive services are provided according to suggested guidelines and may be subject to coverage limitations. Check with your plan administrator for details.

Visit healthcare.gov for a list of covered preventive services. 

Telehealth may be used for appointments if no lab work or vaccines are needed. Talk with your provider if you are interested in a telehealth appointment.

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  • Anemia screening on a routine basis for pregnant women
  • Anxiety screening in adult women including those who are pregnant or postpartum
  • Bacteriuria urinary tract infection or other screening for pregnant women
  • BRCA counseling about genetic testing for women at higher risk
  • Breast cancer medications for risk reduction of primary breast cancer in women who are at increased risk for breast cancer and low risk for adverse medication effects
  • Breast cancer screening Women ages 40 to 49: talk with your doctor about when to start getting mammograms and how often to get them. Women ages 50 to 74: get mammograms every two years: talk with your doctor to decide if you need them more often.
  • Breast cancer chemoprevention counseling for women at higher risk.
  • Breastfeeding support, supplies and counseling in conjunction with each birth of a child
  • Cervical cancer screening for adults over age 50
  • Chlamydia infection screening for younger women and other women at higher risk
  • Contraceptive methods and counseling as prescribed
  • Diabetes mellitus screening after pregnancy
  • Domestic violence screening and counseling annually
  • Folic acid supplements for women who may become pregnant
  • Gestational diabetes screening in pregnant women after 24 weeks of pregnancy and at the first prenatal visit for those pregnant women identified to be at high risk for diabetes
  • Gonorrhea screening for all women at higher risk
  • Hepatitis B screening for pregnant women at their first prenatal visit
  • HIV annual screening and counseling for all sexually active women
  • Human Papillomavirus DNA testing in woman with normal cytology results every 3 years for women over 30
  • Maternal depression screening for mothers of infants at 1-, 2-, 4-, and 6-month visits
  • Osteoporosis screening for women over age 60 depending on risk factors
  • Preeclampsia prevention and screening for pregnant women with high blood pressure.
  • Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
  • Tobacco use counseling and interventions for all women, and expanded counseling for pregnant tobacco users
  • Sexually transmitted infection screening and counseling for all sexually active women
  • Syphilis screening for all pregnant women or other women at increased risk
  • Urinary incontinence screening for women yearly
  • One annual well-woman preventive care visit per member to obtain the recommended services that are age and developmentally appropriate. Female members may choose a provider in internal medicine, family medicine or obstetrician/gynecologist for this visit, but any additional visits to these providers in a calendar year will be subject to cost sharing.